RELAXATION THERAPY FOR CAREGIVERS OF ALZHEIMER'S PATIENTS

阿尔茨海默病患者护理人员的放松疗法

• 批准号: 7718719
• 负责人: SHARON L. LEWIS
• 金额: $ 1.02万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-04-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7718719
• 关键词: Acute; Adult Children; Aging; Alzheimer' s Disease; Behavior; Biofeedback; Biological; Blood Pressure; Blood Volume; Caregivers; Chronic; Computer Retrieval of Information on Scientific Projects Database; Disease; Education; Educational process of instructing; Effectiveness; Emotional; Family Caregiver; Funding; Future; Galvanic Skin Response; Goals; Grant; Health; Health Promotion; Immune; Immune response; Immunocompetence; Institution; Laboratories; Life; Longevity; Measurement; Measures; Mental Depression; Muscle Tension; Outcome; Patients; Physiologic pulse; Program Effectiveness; Pulse taking; Quality of life; Relaxation; Relaxation Therapy; Research; Research Personnel; Resources; Science; Services; Skin Temperature; Source; Spouse Caregiver; Standards of Weights and Measures; Stress; Support Groups; Technology; Testing; Thinking; Time; United States National Institutes of Health; Week; base; clinically significant; compare effectiveness; coping; cost; cost effective; design; experience; follow-up; improved; instrument; instrumentation; nervous system disorder; programs; psychosocial; response; stress management; stressor

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Aging baby boomers, longer life spans, and rising levels of Alzheimer's disease and related disorders (ADRD) will result in a major caregiver crisis in the near future. Although family caregivers perform an incredibly valuable service, they do so at a considerable cost to themselves both emotionally and physically. Effective stress management programs for caregivers are virtually needed to 1) help them decrease their stress, 2) improve their emotional and physical health, and 3) empower them to gain control of their lives. OBJECTIVE: The overall goal of this study is to determine the effectiveness of a stress-busting/relaxation program for caregivers of patients with Alzheimer's disease. Specific research objectives include: 1. Prospectively determine the effects of this program on quality of life and immune response in caregivers of patients with chronic neurological diseases. Subjects will be tested at baseline, at completion of 4 and 8 weeks of SBP, and at 2 and 4 month follow-up sessions. 2. Determine subjects' relaxation response as well as their response to acute laboratory stressors using biofeedback instrumentation. Muscle tension, electrodermal response, skin temperature, blood volume pulse, and blood pressure will be measured. Subjects will be tested at baseline, at completion of 4 and 8 weeks and at 2 and 4 month follow-up sessions. We will compare the effectiveness of this program for adult children caregivers as compared to spousal caregivers based on quality of life measurements, immune parameters, and relaxation response. The proposed 8-week multimodal program will focus on stress management, relaxation therapy, and education related to stress and relaxation, managing challenging behavior, depression, coping strategies, positive thinking, and taking time for onset. The setting will be an educational support group. A repeated measures design will be used to determine program effectiveness compared to standard support group (SSG). Outcomes will be measured using psychosocial instruments as well as state-of-the science technology including bioinstrumentation and immune parameters to measure biological responses. This program is proposed as a way to decrease the level of stress experienced by caregivers and teach them effective coping strategies. If it is found to be more effective than SSG in decreasing stress, improving quality of life, promoting relaxation, and/or enhancing immunocompetence in family caregivers, these findings could have important clinical significance for providing a cost effective health promotion strategy for a group of people who experience tremendous ongoing stress.

该副本是利用众多研究子项目之一 由NIH/NCRR资助的中心赠款提供的资源。子弹和 调查员（PI）可能已经从其他NIH来源获得了主要资金， 因此可以在其他清晰的条目中代表。列出的机构是 对于中心，这不一定是调查员的机构。 老化的婴儿潮一代，更长的寿命以及阿尔茨海默氏病和相关疾病（ADRD）的增长将在不久的将来导致重大的照顾者危机。 尽管家庭护理人员提供了令人难以置信的有价值的服务，但他们在情感和身体上都以相当大的代价来做。 实际上需要为护理人员提供有效的压力管理计划1）帮助他们减轻压力，2）改善情绪和身体健康，3）赋予他们对生活的控制权。 目的：这项研究的总体目标是确定对阿尔茨海默氏病患者护理人员进行压力/放松计划的有效性。 具体研究目标包括： 1。前瞻性确定该计划对慢性神经系统疾病患者护理人员的生活质量和免疫反应的影响。 受试者将在基线，4周和8周的SBP以及2和4个月的随访时进行测试。 2.使用生物反馈仪器来确定受试者的放松反应以及他们对急性实验室压力源的反应。 将测量肌肉张力，电肌反应，皮肤温度，血液体积脉冲和血压。 受试者将在基线，4和8周以及2和4个月的随访期间进行测试。 与配偶护理人员相比，我们将根据生活质量测量，免疫参数和放松反应比较该计划对成年儿童护理人员的有效性。 拟议的为期8周的多模式计划将重点介绍压力管理，放松疗法以及与压力和放松有关的教育，管理挑战性的行为，抑郁，应对策略，积极的思维以及花时间发作。 设置将是一个教育支持小组。 与标准支持组（SSG）相比，重复的措施设计将用于确定程序有效性。 结果将使用社会心理仪器以及最先进的科学技术来衡量，包括生物启示和免疫参数，以衡量生物学反应。 该计划被提出是一种减少护理人员所经历的压力水平并教会他们有效应对策略的方式。 如果发现它比SSG在减轻压力，改善生活质量，促进放松和/或增强家庭护理人员的免疫能力方面更有效，那么这些发现可能具有重要的临床意义，可以为一群经历巨大持续压力的人提供成本有效的健康促进策略。